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Recommendations for Addressing In-Hospital Substance Use From a National Delphi Consensus Process.

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Hospitals lack standardized approaches for in-hospital substance use. This study developed consensus-based recommendations for patient-centered, evidence-based care to address substance use during hospitalization.

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Area of Science:

  • Addiction Medicine
  • Hospital Administration
  • Public Health

Background:

  • In-hospital substance use, including opioids, stimulants, and cannabis, is common among hospitalized patients.
  • Most hospitals lack standardized protocols, potentially leading to patient harm and biased care.

Purpose of the Study:

  • To develop best-practice recommendations for addressing in-hospital substance use.

Main Methods:

  • A 3-round Delphi process involving clinicians and individuals with lived/living experience (LLE) of substance use disorders.
  • Online surveys were used to gather expert opinions and reach consensus on recommendations.

Main Results:

  • 84 consensus recommendations were developed, with 58% recommended for universal implementation.
  • Key considerations for implementation included patient autonomy, evidence-based care, feasibility, and potential harms.

Conclusions:

  • An expert panel established comprehensive recommendations to standardize responses to in-hospital substance use.
  • These recommendations aim to promote patient-centered and evidence-based care within hospital settings.